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Best Advice for Dogs with Skin Issues
I still need to publish a real post about Mr. Stix's full backstory, but this feels more pressing. For nearly 18 months, Mr. Stix's permanent nakey spot (from unknown injuries before he was rescued, including 15 fractures and this big patch of coat missing) has featured several inflamed, peeling areas. Initially I tried to fix it myself at home with things like aloe vera, vaseline, a veterinary ointment called animax that the shelter had give us while we fostered him most of 2019, etc. It's sort of a combination of steroids, antibacterial, and antifungal stuff. I took him to see our main veterinarian in spring 2020, when there was a 2-month wait to get into see a board-certified veterinary dermatologist. It has been quite a journey since then, and it's nowhere near over. Here's my best advice for dogs with skin issues.
Before I tell the ongoing saga with Mr. Stix's skin. Here is my best advice for dogs with skin problems.
See a board-certified veterinary dermatologist as soon as you can. Yes, your main veterinarian can probably help, but it's honestly best to go right to the top experts.
Agree to whatever skin scrapings / cytology the veterinary dermatologist recommends. This provides information about what types of secondary infections currently grow on your dog's damaged skin.
Do NOT assume every skin issue is allergies. It often is some sort of allergic process, but NOT always and assuming so (and acting accordingly may only delay real solutions and subject your dog to all kinds of quack advice and home remedies).
Buy the best quality fish oil and Vitamin E supplements you can afford, if it's recommended for your particular case of a dog with skin issues.
When necessary, agree to the skin biopsies (yes, like minor surgery) and have them reviewed by a veterinary pathologist that specializes in dogs with skin issues. The one we used is at Texas A&M.
Follow your veterinary dermatologist's advice and plans, and keep the faith. These dogs with skin problems often don't improve quickly. (I need to take my own advise. See below.)
Mr. Stix's Story as a Dog with Skin Problems
This is what Mr. published looks like when it's normal. Photo from May 2019 soon after his hip surgery. The bald patch is permanent. That's not the issue.
This is how bad the red / peeling areas got in mid-2020 when we saw our main veterinarian, who added a low-dose of oral Vitamin E and some topical too and told me to keep using the animax.
This is how it looked when Mr. Stix first saw the board-certified veterinary dermatologist in early August 2020, but the specialist had me STOP the animax and instead use a prescription anti-bacterial ointment (mupirocin) ... as well as add a better quality oral fish oil and continue both topical and oral Vitamin E (but at a higher dose twice a day). We knew from the skin scrapings / cytology they did onsite that Mr. Stix had a bacterial infection.
But, without the daily topical steroids (which long term are a bad idea), Mr. Stix's skin got much, much worse -- even breaking open and scabbing over.
Our veterinary dermatologist had recommended doing the skin biopsies right away in August 2020, and I *almost agreed to it then, but I was VERY worried about the cuts resulting in skin that would NOT heal. And, I figured it was at least worth a try to use the prescription antibiotic ointment and other supplements and stuff.
But, by around Thanksgiving, it was clear we had to do the biopsy. That photo is kind of gruesome, so you can see it here, if you want. I wish I had done the biopsy sooner. I feel like I wasted time from August through November.
Post-Biopsy Diagnosis
As I expected, despite all the know-it-alls trying to tell me it was an allergic issue, it turns out that Mr. Stix instead has an autoimmune condition called erythema multiforme. They believe it was triggered by the trauma of his earlier injuries. They don't think it is life-threatening. They don't think it will spread to other areas of his skin. Just the already damaged, permanent nakey spot.
With that information in hand, we updated the treatment plan to include a topical, non-steroidal anti-inflammatory ointment (tacrolimus -- often pricey, but we used a Good RX coupon at Costco to get the cost down). They use a version of this medication orally for people who have had various kinds of transplants. It's the smallest / safest option for treatment, and that's where we started.
I was so hopeful it would work at the once-daily application, but the skin still didn't heal completely.
So, in early 2021, we started applying it twice daily on the advice of our veterinary dermatologist.
But, it still hasn't healed completely. It often improves a lot and then comes roaring back, so we had another appointment to see the specialist last week. We had to try something new.
Enter the Big Immune-Suppressing Drug
Despite my concerns and form of veterinary PTSD about major immune suppression drugs (after our experiences with Lilly), I agreed last week to add oral cyclosporine, which is also a drug that people get after various transplants. Mr. Stix would need to take it daily for life.
It smells like it's made from skunk butts, so each gel-cap pill is individually packaged, and you keep them in the freezer because that can help with nausea it can cause (since it's recommended you give on an empty stomach).
I found some good info on this med, and our veterinary dermatologist assured me that it has been safely used in veterinary medicine for like 20+ years, etc.
The med only comes in doses of 25 mg, 50 mg, and 100 mg, and at his size Mr. Stix's ideal dose is around 88 mg once a day. So we went with 75 mg (25+50) to err on the lower side.
It takes like 3-7 days for the med to build up in the blood to therapeutic levels, but it takes more like 4-6 weeks to know if it's going to help the skin (or not).
We made it to day 4, then the barfing started.
Anxiety
I wish I could say that this is all going to be fine, but I just don't know. I feel like I just have to accept that the skin will never fully heal, even though seeing his raw spots up close while applying the topical med twice a day and topical Vitamin E once a day causes me so much angst and anxiety.
I supposed to check in with our veterinary dermatology team next week to confirm that Mr. Stix's weirdness and apparent suffering has improved.
It took a lot of convincing to get Mr. Champion of My Heart to agree to try the cyclosporine, so even if the specialist comes back and recommends maybe a lower dose, I doubt we'll want to risk it ... because Mr. Stix sure seemed to be having some neurologist issues to me, and after the Lilly situation, I just cannot do that again.
He is only 3 years old. I don't want to make anything worse. It honestly felt like I'd poisoned him.
The good news is that most of the time his skin doesn't seem to hurt or itch or anything -- though I do have pain meds, if he needs them. It mostly just looks bad, and he has to wear a no-lick collar for about 20 minutes after I apply his meds so that he doesn't lick it off.
His nakey spot is prone to sunburn anyway, and the topical tacrolimus increases the risk of burning, so I used his earlier sun-reflecting coat (which started to look ragged) as a pattern and sewed him a new / light sun protection coat. He looks very cute in it.
https://championofmyheart.com/2021/08/05/dogs-with-skin-issues/
All The Answers You Need About Dogs Lie Within This Article
When it comes to an amazing pet, nothing compares to a dog. You likely care for a dog already, or are considering adopting one, as you have located this article. It isn't easy to take care of a dog, but this article has all the great hints you need to make dog ownership a blast.
When you get a puppy, have him fixed at around two years old. This reduces the chances of cancer and helps keep the stray animal population down. Additionally, dogs who undergo this procedure are much less likely to wander off and maybe get into to an accident.
Your pet needs vaccinations, much in the same way that your baby does. Some common vaccinations that dogs require include rabies, hepatitis and distemper. Each pet is different, and each will have a different immunization schedule. Your veterinarian is a great resource when it comes to which vaccinations are right for the age and breed of your pet.
You need to have a physical every year, and so does your dog. Your dog can't talk, it might be difficult to find out what is wrong if there is an issue. Annual checkups can catch these things before they become major problems.
Brushing your dog's teeth is important, but it is not easy. If your dog is resisting, once a day simply lift their lips and use your finger to rub their teeth lightly. Do it quickly at first, and then begin to draw out the time you spend performing this action. This will help them get use to the process. After that, you can begin using an actual brush and toothpaste.
Build or buy a house for your dog if he has to stay outdoors for any length of time in cold weather. Particularly if his feet get wet, extended exposure to extreme temperatures causes stress and can lead to health complications. Keep your dog safe from the elements by providing shelter.
Pet boarding and day-care services are a billion dollar business, so make sure you get your money's worth if you have to leave home without your dog. Although kennels offer interesting opportunities to socialize, your dog will be happier with familiar surroundings. Thoroughly check references for a sitter-service and keep him in his own home if at all possible. Otherwise, put him in a reputable kennel and check up on him oft
No matter what kind of dog you may have, hang up a few "Beware of Dog" signs on your property. They are known deterrents to would-be burglars and can help protect you and your family. Just the sign alone indicates probable failure of any robbery attempt and a single bark will have them running away!
Feed your dog dry, premium-quality dog food. This kind of dog food helps to make sure your dog gets all of their vital nutrients. Making sure that they get proper nutrition helps them live a longer life and reduces their chances of obesity, malnutrition, skeletal problems, muscular problems, and many more conditions.
Accept the aging process in your dog and know how to meet his changing needs. Your older dog may require dietary changes, more rest and not be as playful as he once was. This doesn't mean he should be left to grow old in a corner. why do mother cats sometimes eat their own kittens to his needs and make his golden years enjoyable!
Getting a dog on a whim is rarely a good idea. You need to make sure you can afford to feed a dog and cover medical expenses before getting a pet. Research different breeds to figure out which dog would be best for your family, your lifestyle and the size of your home.
Do not make training your dog seem like a chore. Dogs pick up on this negative energy and will have a difficult time learning if you are not in the right mind frame. Make it fun and try to look at it as a bonding experience with your pet. When your dog is having fun, they will learn their training quicker.
You must learn how to introduce your dog to other dogs. Keep him on his leash during introductions so you have better control. Start with a walk by while keeping his attention on you. Then, on the next walk by, allow the dogs to sniff each other a bit. This will allow them to get to know each other without the dangers of attacks.
Always try to do your training in an area where the dog has some distractions around them. Rarely are you going to be in a situation where you need your dog to obey and it is completely quiet. It is best for you to practice your training with the television on, kids running wild and maybe some music playing.
If you bathe your dog often, watch out for signs of painful earaches that can be problematic for canines. They can happen when too much water gets into the ears. Use cotton balls dabbed in baby oil while giving him a bath, and that should keep water from getting in, even if he splashes around.
If your dog is prone to getting burs in his coat, keep a can of Crisco in your kitchen cupboard. Next time you notice a bur, put gloves on to protect yourself and work the Crisco around until you can pry the bur out. Give him a nice shampoo to get the shortening out later.
When you go out to work or to school, crate training is your best bet. Doing this can prevent your items from being damaged and keep the dog from using the bathroom inside the home.
Teach your dog a few basic commands. Simple commands like sit, stay and heel are important for keeping your dog safe and helping him to become friendly around other people. Dogs can easily learn these commands in very little time, and lessons are available if you need some extra assistance.
The truth is that no advice will be perfect either. Every single situation calls for different reactions, be it what to feed a dog or whether or not to take the dog to the vet. Your dog will be happy as long as you love them, and thankfully, that is the easiest part of the job!
Have A Dog? You Can't Miss This!
Some say a dog owns you, you do not own a dog. Once you have a pup in your household, you are likely to agree. That said, your responsibilities in caring for the dog will be great. Read on to find out what you need to know about caring for your dog correctly.
Much like people in the United States, many dogs are overweight. Having a few extra pounds on their frame can lead to a number of health problems, like cancer or diabetes. Many owners simply overfeed their pets. Talk to your veterinarian about how many calories your dog needs each day so you can adjust their meals accordingly.
If your vet gives you medication to take home and administer to your dog, be sure and ask for ideas on getting him to swallow it. Dogs differ in their tolerance of pills and badly-flavored liquids, so have a few tricks up your sleeve in case he resists. Getting a dog to take medicine is important, but often challenging.
Brushing your dog's teeth is important, but it is not easy. If your dog is resisting, once a day simply lift their lips and use your finger to rub their teeth lightly. Do it quickly at first, and then begin to draw out the time you spend performing this action. This will help them get use to the process. After that, you can begin using an actual brush and toothpaste.
Take your grown dog to the vet at least once a year. The vet will check to see if the dog's vaccines up to date. In addition, the vet will check the dog's teeth and vital signs. If any major health or behavioral issues come up between annual checkups, you should see the vet earlier.
Always follow any instructions from the vet carefully, especially if your dog requires medication or other special attention. There's a reason dogs have to endure uncomfortable situations like a cone-collar! Your vet will recommend things that are good for the health of your dog, so make sure that you follow his advice.
When you are walking your dog in the wintertime, there may be rock salt or chemical ice melters that come in contact with his feet. Once you get back in the house, wash his paws and dry them gently. This will prevent these items from causing any type of infections.
Be sure to schedule a check up for your new friend with a trusted veterinarian. Schedule a visit with the vet right away. The vet will examine your dog. Also talk to your vet about getting the dog spayed or neutered - there are already way too many dogs in shelters, and you really don't want to add to this problem.
Know your dog's behavior and body rhythms well, to keep him at his healthiest. Medical issues often present themselves in slight nuances early on and if you know your dog, you'll see them. Pay attention to input and output, sleep duration, energy levels and so forth to keep on top of important issues that affect his health.
Give your dog a great place to sleep. Every dog needs a bed to call his own that is temperature controlled and comfortable. If not, the dog may alternate sleeping locations between undesirable locations, such as your sofa when you're not watching. A bed also gives him a great sense of security and belonging.
Whatever your vet recommends, do it. He might not want to wear that cone on his neck and head, but it's there for a real reason! Recommendations that a vet makes are for the good of your pet and if you don't adhere to these things it could be bad for your pet.
Be careful to not over feed your dog. Obesity is a huge problem for animals these days due to the fact that many dog owners allow the animal to determine how much it eats each day. For the best results, and health of your dog, you should follow the instructions of your vet when it comes to feeding habits.
Be consistent when giving your dog commands. This is an area where a lot of dog owners have a problem, especially when you won't feed your dog from the table but your spouse will. Make sure that everyone in your home understands what's acceptable so that the dog will receive a clear message. That will make him more likely to obey.
Many dogs enjoy things like fruits and vegetables, rice, eggs and cottage cheese. There is nothing wrong with letting them have these things, but they should not make up the bulk of their diets. You should feed them dog food, and implement these items around 10 percent of the time.
Keep in mind that the pads on a dog's foot are very similar to the skin at the bottom of a human foot. This means that they have a hard time withstanding extreme heat and cold. If you have to take your dog out in extreme weather, make sure that you cover their paws, or you don't have them out for very long.
Keep your dog hydrated. Similar to humans, dogs need plenty of fresh water to drink. If a dog doesn't get enough water, they can easily get dehydrated, sick, and possibly die. Provide them with a fresh water bowl every day. Always keep it filled and clean for them. Keep the bowl in single location.
Puppies are cute and cuddly, but remember that puppies eventually grow into dogs, and rather quickly. Make sure that you put a lot of thought in your decision to get a dog. Taking a dog into your home is a long-term commitment and comes with certain costs and responsibilities, but is ultimately rewarding.
No matter what kind or length of fur your dog has, it is important that they are brushed regularly. Without regular brushing, your dog's fur may become matted. Matted fur can cause inflammation on your dog's skin and is very difficult to remove. Also, brushing their fur regularly gets rid of dead hair and helps distribute oils.
It is great to have a cute little puppy. However, when you consider that your puppy will grow and need the proper care, you need to know the right things to keep your dog well. The tips in this article can help you to do the right things, so that you can both be happy.
Good Morning from the Golden Retriever Channel. This pupper is taking-in rain. Who turned on the sprinkler in the sky? Another good day in his life, so far.
(Lifeofsterlingnewton IG)#dogs #puppies #cute pic.twitter.com/ooQqHn9XIf
— Golden Retriever Channel (@GoldretrieverUS) August 20, 2021
I discovered that article about Dogs while browsing the internet. Do you know about another individual who is very much interested in the niche? Take a moment to promote it. Many thanks for taking the time to read it.
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